IAMA
                               5718 Westheimer, Suite 1430
                                         Houston, Texas 77057

                                                     FAX:  (800) 455-2834 

 MEMBERSHIP RULES

Eligibility: To be eligible for IAMA membership, an individual must hold and maintain a certificate of mediation from an accredited education facility, or be a practicing attorney with training in mediation and/or arbitration. Businesses or individuals who are interested in mediation or arbitration are welcome to join but are not entitled to vote for or hold positions as regional or national directors or officers.

Dues: Currently set at $100 annually. Payment must be submitted at time of application. Memberships must be renewed yearly.

Membership Services:   Will start 10 days from day of joining to allow  payment to clear

SUBMITTING THE APPLICATION

There are  three ways  to submit this membership application and  your payment:

1-Fill out the  form online include your credit card information, and submit it online for immediate processing. (PREFERRED WAY)

2- Fill out the form online, include your credit card information, then PRINT it out, sign your name where designated, and Fax  it  or Mail it with your payment  to our offices attention  IAMA Membership  (See address and Fax above.)  

PRINTING  HINT: To print the form, make sure to click the mouse cursor somewhere  inside the form to make it the active section of the page, then print it.

 3- Download the form, Print it, fill it out by hand, make payment choice, Fax or Mail to IAMA

 

      Download form as word Doc    

   (Note:  May take 2 to 3 minutes to download) 
                       

      Download form as pdf document  (Requires Acrobat)       

              

                

ANY PROBLEMS? 

           Call us at :  (800) 559-IAMA (4262)

 MEMBERSHIP: Register my membership at IAMA as a(n):               

                                (check ALL that apply)

PART ONE 

Mr.      Mrs.      Ms.      Dr.          Other:

Last Name:

First:

M:

Titles/Degrees:
Street Address:

City:

State:

Alabama Alaska Arizona Arkansas Connecticut California Colorado Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Michigan Mississipi Missouri Massachussets Michigan Minnesota Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming (none)

Zip:

Country:

USA Argentina Australia Austria Belgium Brasil Canada Denmark Egypt Finland France Germany Greece Guatemala India Ireland Israel Italy Jordan Lebanon Mexico Netherlands New Zealand Norway Pakistan Panama Philippines South Africa Spain Sweden Syria Switzerland United Kingdom Zimbabwe

Province ( Canada):

(none) Alberta British Columbia Manitoba Nova Scotia New Brunswick Newfoundland Northwest Territories Ontario Prince Edward Isl. Quebec Saskatchewan Yukon

Home:

Office:

Ext:

Fax:

Email:

Website:

Please complete the following as you would like to be listed in the IAMA database.

Employer/Organization:

Organizations/Affiliations:

ATTORNEYS :
State(s) where licensed:
State Bar Number:

 

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Payment Options

(See top of form for other options)

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Check Enclosed:
Please charge my:        Charge Annually  Yes   No
Credit Card Number:		Exp. Date:	MM/YY
Full Name on Card:
Signature: (if printing out) ________________________________________

 

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PART TWO

Please indicate your area(s) of practice and the neutral role(s) you perform. If you list more than one, please rank order (with #1 being the area or role in which you spend most of your time) in the comments field.

 Area(s) of Practice: (check as many as relevant)

Banking	Community	Commercial	Consumer	Criminal Justice
Education	Environment	Family	Health	International
Employment	Labor	Personal Injury	Product Liab.	Other

 Neutral Role(s): (check as many as relevant)

Administrator	Arbitrator	Conciliator	Consultant	Counselor
Educator	Facilitator	Judge	Legislator	Mediator
Ombudsman	Researcher	Trainer	Other

 

Date of Certification:	MM/DD/YY
Name of Organization:
City/State of Organization:

 COMMITTEES  (If you are interested in serving on committees, please indicate areas of interest)

 COMMENTS ( Additional information or explanation about experience or background)

PART THREE

INFO GURU MARKETING

Check one of the choices below. If you are paying by check, add the appropriate amount to   your annual dues. You may select the CD Rom or the Printed Manual:

CD ROM      FREE in U.S. & Canada       $10.00  for International

MANUAL     $25.00  in U.S. and Canada   $30.00  for International  

FINAL STEPS

IF  PAYING BY CHECK OR

FAXING  OR MAILING  FORM   WITH CREDIT PAYMENT

             DO NOT PUSH THE SUBMIT BUTTON:    SEE INSTRUCTIONS 

 (Make sure all information is correct including Credit Card Number and Expiration Date)

click on  SUBMIT  only ONCE  

The process may take a few minutes.  If it takes too long, please hit the "Back" button, hit "Join", and re-submit.